Evidence map›Paper›PMID 36477180›Full record

ArticlePloS one2022

Self-management of depression and anxiety amongst frail older adults in the United Kingdom: A qualitative study.

Pushpa Nair, Kate Walters, Su Aw, Rebecca Gould, Kalpa Kharicha, Marta College Buszewicz, Rachael Frost

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. What Do We Know About Prevention of Frailty in Women?American journal of lifestyle medicine · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Pushpa NairDepartment of Primary Care and Population Health, University College London Medical School (Royal Free Campus), London, United Kingdom.ORCID 0000-0001-7326-7716
Kate WaltersDepartment of Primary Care and Population Health, University College London Medical School (Royal Free Campus), London, United Kingdom.
Su AwNational University of Singapore, Saw Swee Hock of Public Health, Singapore, Singapore.
Rebecca GouldDivision of Psychiatry, University College London, London, United Kingdom.
Kalpa KharichaNIHR Health & Social care Workforce Research Unit, The Policy Institute, King's College London, London, United Kingdom.
Marta College BuszewiczDepartment of Primary Care and Population Health, University College London Medical School (Royal Free Campus), London, United Kingdom.
Rachael FrostDepartment of Primary Care and Population Health, University College London Medical School (Royal Free Campus), London, United Kingdom.

Funding

Department of Health 378
6 · The paper itself

Abstract

objectivesDepression and anxiety are common in frail older people and are associated with high levels of morbidity and mortality, yet they typically face greater barriers to accessing mental health treatments than younger people and express preferences for self-managing their symptoms. This study aims to explore frail older adults' experiences of self-managing symptoms of depression and/or anxiety.

designQualitative semi-structured interviews, exploring experiences of depression and/or anxiety, ways participants self-managed these and the contexts within which this took place. Interviews were audio-recorded and transcribed verbatim.

participants28 frail older adults in the United Kingdom, purposively sampled for neighbourhood, frailty and symptoms of anxiety/depression. ANALYSIS: Thematic analysis to inductively derive themes from the data.

resultsOur findings suggest that frail older adults find maintaining independence, engaging in meaningful activities, and socialising and peer support important for self-managing depression and anxiety. These could all be adapted to the level of frailty experienced. Drawing on life experiences, addressing the perceived cause and faith were helpful in some situations and for some personalities. Distraction and avoidance were helpful for more severe symptoms or where the causes of symptoms could not be resolved. Self-management strategies were less well-established for anxiety symptoms, especially when linked to newer health fears and worries about the future.

conclusionsDeveloping services and sources of information that support and facilitate key therapeutic components of self-management, which align with older adults' preferred coping styles and take into account levels of frailty, may be a way of supporting frail older people waiting for mental health treatments or those who prefer not to access these. Greater awareness of anxiety and how it can be self-managed in frail older people is needed.

Indexed as

Self-ManagementAgedHumansUnited Kingdom

Identifiers

PMID36477180
PMCPMC9728861

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.